CLIA lab

CLIA 10D1069049: Borland Groover Clinic

Fernandina Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D1069049 belongs to Borland Groover Clinic in Fernandina Beach, FL.

Certificate of Waiver, effective May 28, 2025, expires May 27, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 28, 2025
Certificate expiration
May 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 28, 2007
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D1069049
Lab name
Borland Groover Clinic
Address
1340 South 18th St, Suite 204, Fernandina Beach, FL 32034
Phone
(904) 398-7205
Fax
(904) 265-6409

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Borland Groover Clinic in Fernandina Beach?

10D1069049, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Borland Groover Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1069049 expire?

The CMS file lists May 27, 2027 as the certificate expiration date; the certificate took effect May 28, 2025.

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